Neonatal intraventricular hemorrhage

Jeffrey Strelzik MD (Dr. Strelzik of Medical College of Georgia has no relevant financial relationships to disclose.)
James E Carroll MD (Dr. Carroll of Georgia Health Sciences University has no relevant financial relationships to disclose.)
Bernard Maria MD, editor. (Dr. Maria of Icahn School of Medicine at Mount Sinai and Director of Pediatric Neurology and Developmental Medicine at Goryeb Children)
Originally released September 5, 2012; last updated March 25, 2015; expires March 25, 2018

This article includes discussion of neonatal intraventricular hemorrhage and post-hemorrhagic hydrocephalus. The foregoing terms may include synonyms, similar disorders, variations in usage, and abbreviations.

Overview

In this article, the authors review intraventricular hemorrhage (IVH) in the neonate with respect to its clinical setting, cause, course, and management. Although the occurrence rate of IVH is lessening, the incidence is maintained due to improved survival of very low birth weight infants. Therefore, our continued understanding of the condition is still important for the clinician.

Key points

 

• Intraventricular hemorrhage (IVH) originates in the germinal matrix of the infant born at less than 34 weeks gestation.

 

• IVH results from brain blood flow perturbations brought on by defective cerebral autoregulation in association with the medical problems of prematurity.

 

• Management of IVH consists of monitoring for ventricular dilation and drainage of cerebrospinal fluid (CSF) by one of several possible methods.

 

• Neurologic sequelae are significant and related to the severity of the hemorrhage.

The content you are trying to view is available only to logged in, current MedLink Neurology subscribers.

If you are a subscriber, please log in.

If you are a former subscriber or have registered before, please log in first and then click select a Service Plan or contact Subscriber Services. Site license users, click the Site License Acces link on the Homepage at an authorized computer.

If you have never registered before, click Learn More about MedLink Neurology  or view available Service Plans.